Summary
Objectives: Cerebral vascular malformations might lead to strokes due to occurrence of ruptures.
The rupture risk is highly related to the individual vascular anatomy. The 3D Time-of-Flight
(TOF) MRA technique is a commonly used non-invasive imaging technique for exploration
of the vascular anatomy. Several clinical applications require exact cerebrovascular
segmentations from this image sequence. For this purpose, intensity-based segmentation
approaches are widely used. Since small low-contrast vessels are often not detected,
vesselness filter-based segmentation schemes have been proposed, which contrari-wise
have problems detecting malformed vessels. In this paper, a fuzzy logic-based method
for fusion of intensity and vesselness information is presented, allowing an improved
segmentation of malformed and small vessels at preservation of advantages of both
approaches.
Methods: After preprocessing of a TOF dataset, the corresponding vesselness image is computed.
The role of the fuzzy logic is to voxel-wisely fuse the intensity information from
the TOF dataset with the corresponding vesselness information based on an analytically
designed rule base. The resulting fuzzy parame ter image can then be used for improved
cerebrovascular segmentation.
Results: Six datasets, manually segmented by medical experts, were used for evaluation. Based
on TOF, vesselness and fused fuzzy parameter images, the vessels of each patient were
segmented using optimal thresholds computed by maximizing the agreement to manual
segmentations using the Tanimoto coefficient. The results showed an overall improvement
of 0.054 (fuzzy vs. TOF) and 0.079 (fuzzy vs. vesselness). Furthermore, the evaluation
has shown that the method proposed yields better results than statistical Bayes classification.
Conclusion: The proposed method can automatically fuse the benefits of intensity and vesselness
information and can improve the results of following cerebrovascular segmentations.
Keywords
Magnetic resonance imaging - computer-assisted image analysis - cerebrovascular disorders
- fuzzy logic - image enhancement